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Record W1963786493 · doi:10.1007/s00268-005-7915-9

How to Appraise the Effectiveness of Treatment

2005· article· en· W1963786493 on OpenAlexaff
Mohit Bhandari, R. Brian Haynes

Bibliographic record

VenueWorld Journal of Surgery · 2005
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealth Systems, Economic Evaluations, Quality of Life
Canadian institutionsMcMaster University
Fundersnot available
KeywordsVascular surgeryAbdominal surgeryMedicineCardiac surgeryCardiothoracic surgeryGeneral surgerySurgery

Abstract

fetched live from OpenAlex

Before implementing a new therapy, we should ascertain the benefits and risks of the therapy and assure ourselves that the resources consumed during the intervention will not be exorbitant. In the hierarchy of research designs, the results of randomized controlled trials, especially if systematically reviewed, are considered the highest level of evidence. We suggest a three-step approach to using an article from the medical literature to guide your patient care. We recommend that readers ask whether the study can provide valid results, review the results, and consider how the results can be applied to patient care. Given the time constraints of busy surgical practices and surgical training programs, applying this analysis to every relevant article will be challenging. However, the basis of this process is essentially what we all do many times each week when making decisions about whether and how to treat patients. Making this process explicit with guidelines to assess the strength of the available evidence can serve to improve patient care. It also allow us to defend therapeutic interventions based on available evidence and not anecdote.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.026
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.646
Threshold uncertainty score0.909

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0260.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.322
GPT teacher head0.404
Teacher spread0.082 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations13
Published2005
Admission routes1
Has abstractyes

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